Healthcare Provider Details

I. General information

NPI: 1427687904
Provider Name (Legal Business Name): ALEXANDRIA MCGOWAN DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2020
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

89 W COPELAND DR
ORLANDO FL
32806-2002
US

IV. Provider business mailing address

89 W COPELAND DR
ORLANDO FL
32806-2002
US

V. Phone/Fax

Practice location:
  • Phone: 321-843-8900
  • Fax: 321-843-8916
Mailing address:
  • Phone: 321-843-8900
  • Fax: 321-843-8916

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberOS23455
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: